Basic Information
Provider Information
NPI: 1053551572
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REHRIG
FirstName: ANTHONY
MiddleName: JAMES
NamePrefix: MR.
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 94 LAFAYETTE AVE
Address2:  
City: PALMERTON
State: PA
PostalCode: 180711519
CountryCode: US
TelephoneNumber: 5707786586
FaxNumber:  
Practice Location
Address1: 1040 S CEDAR CREST BLVD
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181035400
CountryCode: US
TelephoneNumber: 6108219135
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/24/2009
LastUpdateDate: 03/16/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT009979LPAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


Home